Tortoise, Belly, Nail, Heart, Radix Rehmanniae Preparata, Cistanche deserticola, Asparagus, Tibia, Huai, Achyranthes bidentata, Fructus Lycii preparata and Cortex Phellodendri.
(Xu Comment: This prescription is also proper, but there must be a cure. )
Explain in detail:
Numbness and enuresis, which belong to cerebrovascular accidents, are sluggish rather than fainting, so it is more likely to estimate ischemic encephalopathy. If severe cerebral arteriosclerosis (brain atrophy) will also have these symptoms. As for Xu's theory that "the heart has a heart disease and the small intestine has a disease", the heart governs the gods, but the small intestine has no disease. All functions can be abnormal because of heart loss and twelve official crises, and it is not necessarily the problem of the small intestine itself (Chinese medicine has the view that abnormal urination is related to the small intestine). So the elderly have syncope, that is, stroke, thin syncope, fried syncope and so on. "Su Wen Angry to the Sky": "Yang qi, great anger leads to exhaustion, and blood stasis (dispersing blood) makes people faint." . "Su Wen Angry to Heaven": "Yang is the spirit, overworked, relaxed and refined, accumulated in summer, making people faint. You can't see if you are blind, and you can't hear if you are deaf. If it collapses, it will destroy the deep valley. "
Insomnia for several months is caused by heart fire floating on the top, kidney water insufficient to the bottom, and heart-kidney disharmony. Xu Ping's heart disease is actually a common disease with deficiency of yin in heart and kidney. If typhoid Huanglian Ejiao decoction is also sick, it is good to treat both the upper and lower aspects and the liver. Huanglian Ejiao Decoction Huanglian Qingxin, Scutellaria baicalensis Georgi Qinggan, Paeonia lactiflora Gan Yang, Ejiao and Wuji Bushen. Ye's theory of phlegm-fire holds that patients have symptoms such as red tongue, greasy fur and excessive phlegm. People usually use Huanglian Wendan Decoction to punish them. However, Ye stressed that these situations can not be understood as phlegm fire, nor can they be attacked with heat-clearing and phlegm-resolving products, let alone Hu's phlegm-rolling pills. Instead, it is suggested that this is caused by insufficient lower energizer, which can not absorb floating yang, and body fluid goes up with deficiency yang and turns into phlegm and saliva. Gu advocated the treatment of reinforcing lower jiao and absorbing floating yang. Xu Ling's prenatal education advocates communicating the heart and kidney, calming the liver and calming the wind. In the prescription, Pinellia ternata is good at inducing yang into yin to treat insomnia, but it can also eliminate phlegm and promote fluid production. Poria cocos and tooth kernels (or jujube kernels) are used to soothe the nerves, while floating without roots can clear the heart, improve intelligence and tonify the kidney, dragon teeth can suppress yang and soothe the nerves, chrysanthemum can clear the liver and calm the wind, gastrodia elata can calm the wind and dredge the collaterals, and licorice can be baked to reconcile all the drugs. This prescription obviously focuses on nourishing the heart, clearing the heart and calming the nerves, slightly calming the liver and calming the wind, and giving consideration to tonifying the kidney and suppressing yang. It is different from Ye's specialization in replenishing essence and subduing yang.
Yip's side seems to have evolved from Zhu Danxi Qian Hu Maru. Using tortoise plastron and prepared rehmannia root to nourish kidney yin, cistanche deserticola can nourish essence and blood, and has the function of moistening intestines and relaxing bowels (apoplexy patients are prone to constipation), asparagus can clear away heat and nourish yin deficiency, tiger bone (modern tigers should be replaced by artificial tiger bone as a protected animal), Achyranthes bidentata can strengthen bones and muscles, Lycium barbarum can nourish blood and promote tendons in the liver, and phellodendron can clear fire to prevent its heart from rising with the liver wood.
They are both famous doctors of the same generation. Why do they have this difference in understanding? Gaye really saw the patient. In addition to insomnia, according to the past enuresis, this patient should also have symptoms such as decreased thinking (bone marrow emptiness), weakness of limbs, weakness of waist and feet. Therefore, Qian Hu Pill for tonifying kidney and strengthening bone was selected. However, Xu Can only legislates according to the symptoms recorded in medical records, so enuresis, insomnia and numbness are the main symptoms, and it is diagnosed as apoplexy with excessive phlegm and unconsolidated enuresis. Therefore, he adopted Shen Fu, Tooth Kernel (or Jujube Kernel), Longya Ningxin Anshen, Scrophularia Qingxin, Gastrodia elata and other therapies. At the same time, Alpinia oxyphylla is added to treat enuresis by fixing semen and reducing urine. Xu often criticizes Ye's thought of classic prescriptions, but in this case, Xu completely prescribed prescriptions according to the thinking at that time.
The key question is, why doesn't Ye directly supplement the lower energizer and use phlegm-resolving and heart-calming drugs? This has to be interpreted from Zhongjing Jueyin disease. The lower yuan is deficient, the water does not contain wood, the liver and wood are on fire, and the heart is on the pulse. That is to say, Jueyin disease, which rushes to the heart in the upsurge, is the card that Huanglian Ejiao Decoction is upset and can't lie down. Ye's prescription uses cortex phellodendri to clear away heat and reduce fire, and cortex phellodendri is the source of du fire. In particular, Wu Mei Pill adopts Cortex Phellodendri, Radix Rehmanniae Preparata, Carapax et Plastrum Testudinis, Tiger Bone, Colla Corii Asini, Black-bone Chicken and Angelica sinensis in Youwumei Pill. Cistanche deserticola, Fuzi of Youwumei Pill. Rhizoma Coptidis in Asparagus and Youwumei Pills, and Radix Scutellariae in Huanglian Ejiao Decoction. Achyranthes bidentata bleeding, Youwumei Pill cassia twig rushing down. In this case, it is Ye who really learns the Zhongjing method.
Another important question is, isn't it afraid to help the phlegm in the world with drugs such as Radix Rehmanniae Preparata? There is a unique theory of leaves here, that is, reusing Rehmannia glutinosa to fill kidney essence can induce phlegm to decrease and turn into body fluid, but phlegm will disappear if it is not removed. Xu Ling's fetus is afraid of not knowing this, so she still uses Pinellia ternata and Poria ginseng to resolve phlegm.
Attached to Zhang Xichun's experience in using cultivated land:
The answer is that if we use the prepared land, I will be able to help others. When I first read the prescription, I read Zhao's Yi Guan, Zhang Ba Zhen and Feng Mi Ji, and I believed what he said. I like to use Radix Rehmanniae Preparata most clinically. I used Bawei Dihuang Pill as soup, and added perilla and Radix Paeoniae Alba to treat asthma. Adding Pericarpium Citri Reticulatae and Radix Paeoniae Alba to treat phlegm and saliva mixed with deficiency and excess; Adding Perilla frutescens is rich and simple, which can treat kidney failure and fullness due to qi (when patients take it, it is made into Ginseng Qi Zhen Decoction, which can reduce the frequency of urination of Poria cocos and Alisma orientalis by two thirds, and it is more effective to treat this syndrome (it is also effective to treat male thirst and female thirst in the Golden Chamber, see Yu Ye Decoction for details), and you can also taste aconite. I also tried to use Liuwei Dihuang Pill as soup, and added Chuanxiong and Anemarrhena rhizome to treat a broken headache. Adding Galla chinensis and indigo naturalis to treat extreme dizziness; Add spiced, medlar and arborvitae seeds to disperse the big pupils, believe it, boil a few bowls of juice and drink it; Use Huangsiliang and Poria cocos to stop diarrhea and lower coke instability; Using Radix Rehmanniae Preparata and Radix Paeoniae Alba is not conducive to urination due to yin deficiency; I also tasted the harm of land yellow in one day. After treating a serious illness caused by exogenous diseases, I suddenly lost my breath and my pulse was scattered (this card should be used to restore soup at the back, but there was no prescription for it at that time, but if I knew how to use land yellow, I would be lucky to succeed, because Feng Chuzhan said that Rehmannia can greatly tonify the kidney and try it sincerely). I didn't just treat internal injuries; I also tried Radix Rehmanniae Preparata and Colla Corii Asini to nourish true yin to treat febrile diseases. The pulse is yang floating but yin should not, so I can't sweat. I take two doses every day to help yin qi cope with yang qi and make it sweat (see Cold Solution Decoction for details). All exogenous typhoid fever is caused by the exhaustion of the lower yuan, so it is necessary to reuse the prepared rehmannia root and replenish its lower yuan, that is, to destroy it with evil spirits.
Zhang Xichun on phlegm:
Erchen Decoction, written by Fang Ju in Song Dynasty, is used to treat phlegm all over the world, and it is called the general agent for treating phlegm. I don't know that Erchen decoction can cure phlegm, but it can't cure phlegm. who is it? The mark of phlegm is in the stomach, and the source of phlegm is in the kidney. The kidney governs the storage, and the bladder is also a fu-organ. Sometimes, its hidden strength is not strong, so it must be injected into the bladder. Bladder expansion, can not be emptied, that is, can not suck the water out of the stomach to drink, faster than descending and urinating, the origin of this phlegm is also. Above the kidney, there is a sea of blood, and the pulse of strange classics is also strong. Its pulse is superior to Yangming and inferior to Shaoyin. Because it is connected with the lower shaoyin, if the kidney is not gasified, it will easily dry up. In order to spread Yangming to the world, qi rushed upward and stomach qi reversed. You can't rest and descend to transport water and drink water, which is also the origin of phlegm.